Awareness of COVID 19 pandemic among dental practioners of Telangana state, India: A cross sectional survey.

BACKGROUND: Coronavirus diseases (COVID-19) is a public health emergency of international concern. The dental professionals are considered to be at high risk, as most of the treatments may lead to the spread of infection due to direct proximity with saliva, blood and aerosols generation. AIM: The aim of the current study was to evaluate the awareness, regarding COVID19 pandemic among dental practioners in state of Telangana. MATERIALS AND METHODOLOGY: A self-administered, structured, pilot-tested close-ended 20 point questionnaire,was distributed among the dental practioners in Telangana state. A total of 385 participants completed the questionnaire. Data obtained was analyzed using SPSS 22.0 (SPSS Inc., Chicago, IL, USA) for data analysis. RESULTS: Among 385 participants a total of 115 (29.9%) exhibited high level of knowledge while 167 (43.4%) demonstrated moderate knowledge and 103 (26.8%) demonstrated low level of knowledge. Mean knowledge score was 12.46 ± 2.47, minimum and maximum scores were 5 and 15 respectively among the dental practioners (DPs). CONCLUSION: All the respondents seem to have adequate knowledge regarding COVID19 and adoption of control measures to prevent the spread of COVID19. However, some deficiencies were noted. The, dentists, must be well informed of the recommended practices.Initiatives for attending webinars, continuing dental education programs on COVID19, have to be undertaken to keep them selves updated and be prepared with extra precautionary measures to be taken.

Severely Resorbed Edentulous Ridges: A Preventive Prosthodontic Approach - A Case Report.

As a dentist our main aim should be prevention which not only includes prevention of caries and or periodontal disease but also prevention of residual alveolar bone loss after teeth are extracted. Today with greater stress on preventive measures, the dental profession has expanded this preventive concept into Prosthodontics. Preventive Prosthodontics emphasizes the importance of any procedure that can delay or eliminate the future Prosthodontic problem and stop further progression of oral disease and prevent the loss of remaining tissues. The Residual Ridge Resorption (RRR) is an inevitable consequence of tooth loss and denture wearing. Severe RRR gradually results in increased interarch distance, significant horizontal discrepancy between edentulous ridges, occurrence of flabby displaceable tissues in the denture bearing area and other sequelae. Prosthetic rehabilitation in these patients can be challenging. The conventional complete denture fabrication in such cases may further compound the poor denture bearing ability of the tissues and lead to decreased retention, stability and support which may result in psychological problems and social isolation. This case report emphasizes the importance of preventive concepts in every step of complete denture fabrication to offer a long serviceable prosthesis without any significant complications and compromise.

Ameloblastic fibro-odontoma.

Ameloblastic fibro-odontoma is a slow growing, benign, expansile epithelial odontogenic tumour with odontogenic mesenchyme, accounting for 0.3-1.7% of jaw tumours, signifying its rarity. The WHO defines it as "a neoplasm composed of proliferating odontogenic epithelium in a cellular ectomesenchymal tissue with varying degrees of inductive changes and dental hard tissue formation". We report a case of an 11-year-old girl who presented to the Department of Maxillo-Facial Medicine and Radiology for the evaluation of a swelling in the left posterior mandible. Her clinical chart and investigations unveiled it as ameloblastic fibro-odontoma. After a promising presurgical evaluation, the lesion was enucleated using an intraoral approach followed by osteoplasty. Osteogenesis was attained despite of any definitive techniques to promote bone regeneration. Immediate postoperative inter-maxillary fixation was performed to prevent pathological fractures for a period of 3 weeks. In an 8-month follow-up, no untoward complications were noticed.

Psammomatoid Juvenile Ossifying Fibroma Involving Upper Jaw: A Rare Case Report.

Juvenile ossifying fibroma (JOF) is a fibro-osseous neoplasm, rare in occurrence and usually seen in young children. JOF is locally aggressive spreads quickly and is defined as a variant of ossifying fibroma. There are two types of ossifying fibroma depending on histopathology and classified as Psammomatoid juvenile ossifying fibroma (PJOF), Trabecular juvenile ossifying fibroma (TJOF). Both the types affect skull bones with the trabecular type being more common in the jaws- maxillofacial region and the psammomatoid type being more common in the paranasal sinuses, ethmoid sinuses- craniofacial region. Complete excision is mandatory because JOF's have an extremely high rate of recurrence. A rare case of PJOF involving right maxilla sparing paranasal sinuses in a 15-year-old male patient with clinical, radiographic and histopathological features is discussed.

Condiments Costing High. . . ! A Case Report of Erythema Multiforme.

Adverse drug associated mucocutaneous reactions having a preponderance to occur above 1% include urticaria, angioedema, photosensitivity, fixed drug eruptions and Erythema Multiforme (EM). EM is an acute inflammatory disease of the skin and mucous membranes that causes a variety of skin lesions-hence named 'multiforme'. The aetiological spectrum of EM is wide and is attributed to infectious agents, drugs and food additives. EM is diagnosed based on stringent clinical findings which are pathognomic as microscopic evaluation carries least significance. We report a case of a 38-year-old male who presented with a complaint of severe oral & cutaneous lesions making him difficult to eat & drink. History revealed the usage of clove to get rid of tooth pain following which he developed ulcers in the mouth which made him to visit a general physician where he was administered gentamycin. Later on oral lesions worsened along with the emergence of dermal lesions. In the present case, based on the patient history, clove was found to be a probable aetiological agent and the condition was further precipitated owing to the administration of gentamycin. The patient was successfully treated with corticosteroids adhering to systemic corticosteroid administrative protocols and no remissions and exacerbations were noticed in a year follow up.

Ameloblastomatous calcifying cystic odontogenic tumour: a rare variant.

Calcifying Cystic Odontogenic Tumor (CCOT) was previously described by Gorlin et al., in 1962 as Calcifying odontogenic cyst. CCOT is a rare lesion which accounts for 2% of all odontogenic pathological changes in the jaws. One of the variants, Ameloblastomatous proliferating type of CCOT is even more rare and very few cases have been reported in the light of literature review. This case report is an effort to bring forth a case of ameloblastomatous proliferating type of CCOT in a 65 year male, who presented with a painful swelling in the right jaw crossing midline causing facial asymmetry and confirmed by histopathological evaluation.

Mucoepidermoid carcinoma.

Salivary gland tumours comprise almost 5% of head and neck malignancies. Minor salivary gland tumours account for 10-15% of all salivary gland neoplasms and are usually malignant. The second most common minor salivary gland tumour (12-40% globally) is mucoepidermoid carcinoma. Mucoepidermoid carcinoma is more frequent in females, occurs in the fifth decade of life and is usually found in the parotid gland. However, the palate is a frequent site when it occurs in the minor glands. We report a case of a high-grade variant of mucoepidermoid carcinoma in the right retromolar trigone of a 21-year man which was treated with wide excision of the tumour with a 1.5 cm margin. Reconstruction was done with a buccal fat pad posteriorly with a pedicled lateral tongue flap. Temporal stripping and right coronoidectomy was carried out in case of post-surgical wound contraction. The patient is currently under periodic review.